Provider Demographics
NPI:1316808447
Name:SATTERWHITE, MALIYHA SADE
Entity type:Individual
Prefix:
First Name:MALIYHA
Middle Name:SADE
Last Name:SATTERWHITE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TERRIE
Other - Middle Name:LEANITA
Other - Last Name:SATTERWHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:6154 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:MO
Mailing Address - Zip Code:63134-2243
Mailing Address - Country:US
Mailing Address - Phone:314-462-8090
Mailing Address - Fax:
Practice Address - Street 1:6154 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:MO
Practice Address - Zip Code:63134-2243
Practice Address - Country:US
Practice Address - Phone:314-462-8090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-19
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000163775164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty